| NPI | 1619189404 |
|---|---|
| Other Name | BRAD BOWKER MANNING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: VA 0101241640) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-04-11 |